Higher meat intakes are positively associated with higher risks of developing pancreatic cancer in an age-dependent manner and are modified by plasma anti-oxidants: A prospective cohort study (EPIC-Norfolk) using data from food diaries

Beaney, Alec J., Banim, Paul J. R., Luben, Robert, Lentjes, Marleen A. H., Khaw, Kay-Tee and Hart, Andrew R. (2017) Higher meat intakes are positively associated with higher risks of developing pancreatic cancer in an age-dependent manner and are modified by plasma anti-oxidants: A prospective cohort study (EPIC-Norfolk) using data from food diaries. Pancreas, 46 (5). pp. 672-678. ISSN 0885-3177

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Abstract

Objective: Carcinogens in meat may be involved in pancreatic carcinogenesis. Meat intake was investigated using 7-day food diaries and according to factors potentially influencing carcinogenesis: age, cooking method, and antioxidants. Methods: Twenty-three thousand one hundred thirty-three participants in the European Prospective Investigation of Cancer-Norfolk cohort study completed 7-day food diaries and were followed up. Meat intakes were compared with controls and hazard ratios (HRs) calculated. Results: Eighty-six participants developed pancreatic cancer. If younger than 60 years at recruitment, all quintiles of red meat (Q1 vs Q5; HR, 4.62; 95% confidence interval [CI], 0.96–22.30; P = 0.06) and processed meat (Q1 vs Q5; HR, 3.73; 95% CI, 0.95–14.66; P = 0.06) were nonsignificantly positively associated, with significant trends across quintiles (HRtrend, 1.33; 95% CI, 1.01–1.77 and HRtrend, 1.37; 95% CI, 1.04–1.82, respectively). Red meat's effect was attenuated by higher, but not lower, plasma vitamin C (HR, 1.06; 95% CI, 0.69–1.63 vs HR, 1.84; 95% CI, 1.09–3.14) and for processed meat (HR, 1.07; 95% CI, 0.71–1.63 vs HR, 1.80; 95% CI, 1.10–2.96). A nonstatistically significant risk was observed for high-temperature cooking methods in younger people (HR, 4.68; 95% CI, 0.63–34.70; P = 0.13). Conclusions: Red and processed meats may be involved in pancreatic carcinogenesis.

Item Type: Article
Uncontrolled Keywords: sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health
Faculty of Medicine and Health Sciences > Research Groups > Gastroenterology and Gut Biology
Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023)
Depositing User: Pure Connector
Date Deposited: 22 Feb 2017 02:23
Last Modified: 13 May 2023 00:01
URI: https://ueaeprints.uea.ac.uk/id/eprint/62671
DOI: 10.1097/MPA.0000000000000819

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